Abstract.
We report a 40-month-old black male with nephrotic syndrome who developed chylothorax associated with superior vena cava (SVC) thrombosis. To our knowledge, this is the third reported case of spontaneous SVC thrombosis in a nephrotic patient and the first in which chylothorax was also present. Ultrasonography of the pleura and thoracic vasculature was invaluable in making the diagnosis and monitoring the resolution of this condition during treatment. Contrary to previous reports, thoracic chylous effusions complicating uncontrolled nephrotic syndrome do not originate exclusively as a consequence of abdominal pathology, but rather as this case demonstrates, they can occur from lymphatic obstruction caused by thoracic vein thrombosis.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received January 22, 1996; received in revised form June 17, 1996; accepted June 20, 1996
Rights and permissions
About this article
Cite this article
Hanna, J., Truemper, E. & Burton, E. Superior vena cava thrombosis and chylothorax: relationship in pediatric nephrotic syndrome. Pediatr Nephrol 11, 20–22 (1997). https://doi.org/10.1007/s004670050225
Issue Date:
DOI: https://doi.org/10.1007/s004670050225